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Hypothyroidism
or the underactivity of the thyroid gland, is a condition which occurs
when the thyroid gland fails to produce enough thyroid hormones, and/or
there is a failure of the tissues to receive thyroid hormones. Some
causes are common; some are more rare. Below is an outline of those
potential causes. Recognize your own??
Iodine Insufficiency
It’s strongly proposed that millions of individuals develop hypothyroidism
due to the lack of adequate iodine intake, which in turn is due to soil
depletion and lack of iodine in our diet. Since iodine is necessary
in the synthesis, storage and secretion of thyroid hormones, a deficiency
of iodine can result in hypothyroidism.
Hashimoto’s Disease
Also called “Hashi’s” or “thyroiditis”,
this is an autoimmune disorder in which one’s immune system attacks
it’s own thyroid cells, causing inflammation and eventually resulting
in hypothyroid. In many cases a goiter develops because of the inflammation,
but sometimes the thyroid gland can actually shrink. Patients with Hashi’s
can vascillate between hypo and hyper. There is a genetic predisposition
to autoimmune disease, so if you have one, you are more at risk to have
others, including Hashi’s thyroiditis. It is proposed that a lack
of iodine also plays a role in autoimmune attacks on the thyroid.
Overtreatment for Graves Hyperthyroid or Hashi’s with
Radioactive Iodine
If a person with Graves’ disease or Hashimotos is treated with
radioactive iodine (RAI), the thyroid gland is usually rendered partially
or fully inactive. Over time, from a few months to a few years, hypothyroidism
usually occurs.
Thyroid Removal Surgery
If much of the thyroid gland is surgically removed, the result can be
hypothyroidism.
Radiation of the face/neck/chest
Whether for treatment of acne, or for Hodgkins Disease, this treatment
from the 1960’s through the 80’s and beyond can be a precursor
to developing thyroid disease, especially if the thyroid area wasn’t
protected.
Tumor on the Pituitary Gland
Also called Secondary Hypothyroidism, a tumor on the Pituitary gland
interferes with the production of the Thyroid Stimulation Hormone, causing
hypothyroidism as well as adrenal insufficiency. Disorders of the hypothalamus
portions of the brain may also cause thyroid hormone deficiency.
Trauma from Accidents or Surgery
Trauma, such as from automobile accidents, surgery, or severe uterine
hemorrhage during childbirth can result in Sheeans Syndrome, which is
hypopituitarism, and results in hypothyroidism. Cholecystectomy and
Hysterectomy, as well as Ttonsillectomy, can increase the risk of hypothyroid.
Whiplash or neck trauma can cause hypothyroidism.
Pharmaceutical Drug Induced
Lithium, used in the treatment of bipolar manic-depressive disorder,
inhibits thyroid hormone release and can also result in a goiter. The
heart drug, Amiodarone, also increases your risk of hypothyroidism.
Supplements
On the opposite side of the coin of insufficient iodine is taking too
much from iodine-containing herbs such as kelp, bladderwrack, or bugleweed
can increase your risk for hypothyroidism. Many multivitamins, glandular
support formulas and combination products contain these supplements.
Over consumption of Goitrogenic Foods
When eaten in large quantities, this class of foods can promote goiters
and resulting hypothyroidism. They are mostly only a concern when served
raw as cooking may minimize or eliminate goitrogenic potential. Goitrogenic
foods include brussel sprouts, rutabaga, turnips, kohlrabi, radishes,
cauliflower, African cassava, millet, babassu, cabbage, kale and soy
products.
Over consumption of Soy Products
Soy products have a definite antithyroid and goitrogenic effect. Long
term consumption of soy products can promote formation of goiters and
development of autoimmune thyroid disease.
- Nutritional
Deficiencies
Deficiencies of iodine or minerals (selenium, iron, magnesium, zinc)
or vitamins (vitamin A, vitamin B Riboflavin, Niacin, Pyridoxine, Vitamin
C and Vitamin E) can affect thyroid hormone production.
Cigarette Smoking
Unfortunately, tobacco smoke contains cyanide, which is converted to
thiocyanate, and which adversely acts as an anti-thyroid agent, inhibiting
iodide uptake and hormone synthesis. The enlargement of the thyroid
can occur due to smoking, which is a clue that the thyroid is negatively
affected.
Pregnancy/Childbirth
Some doctors estimate that as many as 5 to 10% of women develop a thyroid
problem after delivery. Childbirth can be a hormonal trigger for Hashimoto’s
Disease. The owner of this site has this as the cause of her hypothyroidism.
Menopause
Thyroid problems are known to surface at periods of hormonal upheaval
and are more common just prior to or during menopause. (The owner of
this site noticed her thyroid got a bit worse as she started to enter
meno.)
Aging
Hypothyroidism becomes increasingly common as we age, particularly in
women. Ten percent of all women over the age of 50 show signs of a failing
thyroid. The percentage rises to 20% in women over 65. The owner of
this site saw her 90+ year old father-in-law ease into severe hypothyroidism
which the doctors refused to treat.
Environmental Exposures
Some patients have experienced the fact that fluoride and chlorine can
interfere with proper thyroid conversion and result in hypothyroidism.
Another concern is mercury, a component in dental fillings, which can
disable the thyroid’s ability to convert T4 to T3, resulting in
hypothyroidism.
Percholate and Other Toxic Chemicals Exposure
Percholate blocks iodine from entering the thyroid, and prevents further
synthesis of thyroid hormone. It is found in various water supplies
around the nation, particularly in areas near rocket fuel or fireworks
plants. There is strong evidence that exposure to certain toxic chemicals
increase the risk of developing thyroid disease. Those that are of concern
are dioxins, MTBE, and others that act as “endocrine disrupters”.
Additional
Causes
Asthma and the use of inhaler/expectorants
Polyunsaturated oils interfere with the release and transport of thyroid.
Estrogen Dominance
Excess Cysteine
Accumulation of Iron in the thyroid gland (10% of those with hemochromatosis)
Adrenal Insufficiency
Thyroid Hormone Resistance
Dysfunction of T4 to T3 conversion
Congenital Hypothyroidism–being born without a thyroid
Nuclear Plant Exposure
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